Active NPI
Amber Deon McEachern, PHD
- Psychologist
- Albuquerque, NM
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 1190
- Practice address
- 1400 Carlisle Blvd NE Ste F
Albuquerque, NM 87110-5667 - Phone
- (505) 503-1959
- Fax
- (505) 369-1851
- NPI assigned
- Jul 2, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 1016 | KS | |
| Mental Health Counselor | 101YM0800X | 8349 | NE | |
| Clinical Psychologist | 103TC0700X | PSY1190 | NM | |
| Psychologist | 103T00000X | 1190 | NM | Primary |
Addresses
Primary practice location
1400 Carlisle Blvd NE Ste F
Albuquerque, NM 87110-5667
Mailing address
1400 Carlisle Blvd NE Ste F
Albuquerque, NM 87110-5667
Phone (505) 503-1959
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Psychologist
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1400 Carlisle Blvd NE
Suite F
Albuquerque, NM 87110-5667
Phone (505) 503-1959
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1016 | KS | MD | Mental Health Counselor |
| 8349 | NE | MD | Mental Health Counselor |
| PSY1190 | NM | MD | Clinical Psychologist |
| 1190 | NM | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Oak Bower, LLC | Current | Accepting new patients |
Locations
1201 Eubank Blvd NE
Ste 1
Albuquerque, NM 87112
Phone (505) 361-1957
1400 Carlisle Blvd NE
Ste F
Albuquerque, NM 87110
Phone (505) 503-1959
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Albuquerque, NM
- NPI 1679072672
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151798400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712534400000",
"number": "1497784292",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 CARLISLE BLVD NE STE F",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871105667",
"telephone_number": "505-503-1959",
"fax_number": "505-545-6701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 CARLISLE BLVD NE STE F",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871105667",
"telephone_number": "505-503-1959",
"fax_number": "505-369-1851"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCEACHERN",
"first_name": "AMBER",
"middle_name": "DEON",
"name_prefix": "Ms.",
"credential": "PHD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-02",
"last_updated": "2024-04-08",
"certification_date": "2024-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "KS",
"license": "1016",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NE",
"license": "8349",
"primary": false
},
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "NM",
"license": "PSY1190",
"primary": false
},
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NM",
"license": "1190",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.